Ultimately you want reasons why to choose us for your foot health and orthotic needs. You want to know that you will get the results, not waste your precious time, money and effort when you come to see us.

There are 3 reasons why you should choose us …

1. We guarantee results …

Very simple. If we can’t help you we let you know up front, we won’t waste your time, money and effort and we will let you know after our initial discussion and examination.

2. Your Orthotic Comfort Guarantee – Comfortable fitting orthotics

We use the latest soft computerised orthotics designed to fit into footwear we recommend. We guarantee a comfortable fit.

3. Your Orthotic Result Guarantee - We Give Your Results!

We are confident in the results and orthotics we give you. Very, very rarely do orthotics not work. If your orthotics don’t do what we recommend and advise, and you have followed our instructions to the letter, we will refund your out of pocket expenses on your orthotics.

Our ideal client – not every business is suited to every client and I think you would agree. Our ideal clients are active women and their partners, children and their families who like to keep fit and healthy. Why just active women and their families. We see women as the hubs of our community, working together to keep family and the family unit together and functioning. They are what makes families work and we are about families. As a central part of our community having happy and healthy feet and body posture is crucial for them to achieve this.

Prolotherapy is a procedure where a natural irritant is injected into the soft tissue of an injured joint. Supporters believe that it may provide significant relief for joint or back pain.

The disruption to the lives of those who experience joint and foot pain, ankle, knee, hip pain can be serious. From missed work to decreased mobility, the impact of back and joint pain can affect nearly every aspect of someone's life.

In this article, we examine what prolotherapy consists of, what someone should expect from this procedure, and how effective it is in reducing pain.

Prolotherapy involves injecting irritants into an injured or inflamed joint to stimulate healing.
Prolotherapy is a procedure where a natural irritant is injected into the soft tissue of an injured joint. The irritant kick-starts the body's healing response.

Prolotherapy is not a surgical treatment. Because of this, it is also known as a regenerative joint injection or non-surgical ligament and tendon reconstruction.

Doctors mainly use prolotherapy to treat injured joints and ligaments. While it is most commonly used for the back, doctors may also use prolotherapy in the following areas of the body:

foot joints

ankles

knees

hips

old injuries that are slow to heal

slow recovery from knee replacement

How does it work?

Prolotherapy is an injection that contains a potential irritant, such as a dextrose solution, local anesthetic and sterile saline. The irritant is thought to trigger the body's healing response

Once activated, the body will start to strengthen and repair damaged ligaments in the joint. The strengthening of the ligaments, over time, helps to stabilize the joint. Once the joint is better supported, the pain can disappear.

Prolotherapy usually requires several shots at the site of the injury or weakened area to be effective. An individual can expect anywhere from 4 to 15 shots per session, and for several sessions to occur over the course of 3 to 6 months.

The injection must be precise so that the irritant is placed at the area or areas requiring ligament repair.

What to expect

A patient will need to be assessed for suitability before being recommended for prolotherapy

Before receiving prolotherapy, a doctor will assess a person with joint arthritis, foot, ankle, knee hip pain to work out if they are a good candidate for the therapy.

Not all people are suitable for the procedure. People with chronic conditions, for example, may not see any effects from the prolotherapy so a doctor may suggest other alternatives.

During or before an assessment, a doctor will likely examine X-rays or other imaging results. The images will help them decide if the procedure is feasible, given the location and severity of the injury.

If the person is taking anti-inflammatory medication, this should be stopped 2 to 3 days before the procedure. Continuing to take anti-inflammatory medication may prevent the procedure from working.

On the day of the prolotherapy, it is important that a person eats well. Often, doctors recommend that the person undergoing prolotherapy eats a protein-rich meal.

During the procedure, doctors prepare the person's skin with rubbing alcohol or another sterilizing solution. They may then apply numbing cream to the skin to reduce discomfort from the injection site.

In extreme cases, where the person is in considerable pain or discomfort, additional sedation may be used.

Once prepared, the doctor will use a long, thin needle to deliver the irritant solution to several different points around the target area in the back or joint. The number of injections used depends on the area or joint affected.

Benefits

Medical professionals who support the use of prolotherapy believe that the strengthened joints will mean the pain is reduced. Also, the improved strength of the joint will help with stability and improve overall movement and function of the back and joints.

Prolotherapy is an all-natural, permanent treatment, as it relies on the body repairing itself to reduce pain.

In contrast, pain relievers and anti-inflammatory medications only provide temporary relief. Similarly, surgical options do not always work to stabilize a joint fully.

Risks and side effects

There have been few reported side effects from prolotherapy. In rare cases, the worst side effect is an infection at the site of an injection. A potential infection will show through fever and pain, and it is usually easy to treat with antibiotics.

Another side effect may be temporary swelling or pain where the injection occurred. Immediately following the procedure, the affected joint may feel worse before beginning to feel better.

Success rates

Though studies on prolotherapy have shown high rates of success, further research is needed.

According to the available research, people who receive prolotherapy experience high rates of success.
Another study tested 38 knees in participants, while a third study used 90 participants. Still, the results of these small studies indicated an overall success with the prolotherapy procedure.

As with any procedure, the skill of the doctor performing it will impact how well it works. Also, how an individual responds to the treatment is likely to vary.

Groups such Workcover do not cover prolotherapy for third-party compensation.

Costs

Prolotherapy can be quite costly for an individual. Costs seem to range from around $250 to $600 for the procedure in most city locations. The exact cost depends on the site of the injections, who does it, and if any additional treatment is required. For Podiatric Prolotherapy there is an initial consultation fee of $85. Follow-up visits are $70 with an additional $50 fee ($120 total)

You are about to invest your valuable time, effort and money into taking the best care for your feet. I am certain that at Your Podiatrist Brisbane we are the only Podiatry business that formally offers a Three Step Guarantee. This ultimately is designed to protect you and your investment in your foot health. After 22 years of prescribing orthotics, relieving foot, leg, knee and hip pain we rarely make mistakes, though sometimes it happens. This is the reason why we have our ‘Three Step Guarantee’ … to give you peace of mind and a risk free investment in your foot health and foot pain relief.

Numerous other therapies assist you to relieve your pain and symptoms and get your feet back into healthy condition. Acupuncture/Dry Needling, Massage, Active Stretch and Release are all important part of returning your feet and posture back to better health.

4. Regenerative Medicine For Easy Pain Relief Strategies!

Sometimes you need some quick strategies to relieve pain and get you back on your feet. We use state of the art MSA Cold Level Laser and Prolotherapy, Mineral and Vitamin supplementation that supports the body in healing itself. Prolotherapy is used to reduce pain and also help healing of ligament, muscle injuries, osteoarthritis and help repair these areas. Get started today …

Dr Ben Sibley

I’m often asked …. “Why and how did you get into feet, of all things?” …

As a young child and teenager I had suffered many foot problems such as growing pains that lasted from the age of 7 until I was 15. I loved to play sport. I played so much sport in fact that by 15 I had suffered really painful shin splints and lower back injuries that prevented me from pursuing my passion … fast bowling in cricket. At 15 my body wasn’t happy. I visited many health professionals and was told I needed rest and would grow out of the problems. What I realised later on that a lot of these practitioners didn’t have experience in specific problems of feet and their effects on the rest of the body. A sports doctor finally diagnosed my problem he said that all the problems was stemming from my feet. He referred me to a Podiatrist, she made me custom foot supports (customised orthotics) for my feet and shoes, advised on footwear changes into more comfortable shoes, gave me some exercises and stretches. Within three months all the shin pain had gone and I was back playing my passion … fast bowling and playing cricket. And fingers crossed I haven’t had problems since. Yes I still wear custom foot support and comfort shoes to this day.

So inspired by the help that I received as 15 year old and the impact it had on my life at that time, I thought that this be something I could do. I went into Podiatry. Motivated by the experience of helping people to get back on their feet.

Over the years I worked in nearly all sectors of Podiatry except for the teaching/ university institutions. I have had many great experiences with creating more harmony in client’s body posture, relieving foot pain and improve their foot posture, walking and running. This is really rewarding. Particularly years down the track where you see a client who still thank me for how I had helped them. The greatest thing about being a Podiatry practitioner is the significant impact I can have on some-one’s life when they are in pain and can’t perform at their best. Some of the examples are typical of who we see at the clinic.

People such as …

Active women who suffer from painful feet, tired and aching legs who is looking for treatment and more comfortable shoe option.

A runner, marathoner or triathlete athlete or sportsperson who has foot injuries.

A baby boomer who wants to keep active and pain free so they can perform prevent the onset of premature aging and arthritis, do their travels, cruises and overseas treks they will last the distance.

A young child whose parents are concerned and wondering are they doing the best as parents and giving their child the best they can in treatment when they have flatfeet, “growing pains”, tired and aching legs or if they look clumsy when they walk.

Even people looking for better comfort shoes and runners to do their activity and keep themselves active.

Outside of work … I am also a father of 2 rapidly growing daughters. I love to continually educate myself in the field of health, healing, running, footwear, personal development and leadership. I love camping, body surfing at the beach, going to listen to live bands, kite surfing (when time and weather permits), I love to write and public speak, write books and poetry and exploring new ways of doing old tasks. Most importantly, one of the best things I look forward to seeing you for your First Foot Posture Consultation and helping you relieve your foot pain, support you back to better posture and harmony.

Orthotics will only be prescribed if deemed necessary by your podiatrist following a thorough Biomechanical Assessment and Initial Consultation. Put simply, Orthotics are in-shoe devices used for the treatment of certain foot, leg and biomechanical abnormalities. Most commonly, they are used to alter the alignment of the lower limb(s) in order to change the way in which the limbs function, which may in turn reduce or eliminate the presenting symptomology.

Do I need a referral?

In most cases, a referral is not needed to see a podiatrist. However if you have a gold card with the Department of Veterans Affairs and Medicare Allied Health Care Plans/ EPC's will need require a referral from your GP.

Are the Podiatrists experienced at Your Podiatrist Brisbane?

Our Podiatrists regularly attend ongoing education courses and seminars in order to stay at the top of their profession. We have the most up to date clinical diagnostic gait assessment to ensure you have the most up to date technology assisting you with your foot health, orthotics and foot pain relief.

What's a Posture and Gait Analysis?

The technical term for a Posture and Gait Analysis is called a biomechanical consultation. These can take up to an hour to complete and involve a thorough history taking, extensive physical and stance assessment (standing and lying), as well as comprehensive video gait analysis and Free Step Gait Analysis in our Gait Lab. In some cases this may include revision of previous diagnostic tests (x-ray/CT scan or MRI), and digital CAD scanning of the contours of the feet for orthotic fabrication. Patients leave the centre with a compiled biomechanical report folder, which contains all video gait analysis reports, exercise instruction sheets, CAD CAM foot scans, information brochures and recommendations (including footwear referrals).

Why do you use the Free Step Gait Analysis System and CAD/CAM Foot Orthotic Design and Fabrication System?

The Your Podiatrist Brisbane team uses the best system to produce customised foot orthotics. We have found a continuous dynamic assessment of gait/walking, such as walking on force plate treadmill (The Only treadmill of its kind here in Queensland and Australia) combined with an optical 3D scan of foot posture gives an extremely accurate 3D foot image. This enables the Podiatrist to design and manufacture a customised computerised orthotic that is more accurate, more comfortable, less messy and time consuming than the traditional model of plaster casted, hard plastic orthotics. The traditional model of orthotic design and manufacture were often less accurate, more uncomfortable and ineffective than what we demand for our clients and their foot health.

We want to give you the best results in the shortest possible time using the latest in technology.

How long do I have to wait for my orthotics ?

We can make your orthotics within 24 hours of your first visit. Our standard time frame is 7 days but we can do 24 hour service for you at an additional fee.

Do you accept Private Health Funds ?

Yes we are covered by private health insurance companies. You will need to check with your Health Insurance Company. You can claim your consultations back through your health insurance.

Will my Private Health Insurance Cover me?

All major Australian health funds cover podiatry services; so provided that you have this included in your type of cover, you will receive rebate from your fund. We recommend you contact your health fund to review your eligibility for rebate on Podiatry Services prior to your consultation.

Do You Have Hicaps Onsite?

We believe in giving you the best results in the shortest possible time. Your Podiatrist Brisbane recognises this … and we like to give you some savings for your podiatry care and orthotics. We pass those savings onto you directly. We found that while HICAPS offer you convenience … convenience often comes at a cost. HICPAS takes a % each time we process your claim.

Most practices pass this cost onto you the client. It’s built into your fees. Which we feel is not fair. So we want to make visiting us and purchasing custom orthotics from us, a simple and easy decision for you. We want you to “say yes!”

We provide the “convenience” for you with Hicaps and direct insurance billing.

What’s in the Initial Consultation?

The Initial Consultation will take approximately 50 minutes (a little longer than the time taken for a General Consultation). Your podiatrist will conduct a thorough taking of your medical history as well as gaining all the information about your presenting complaint. In some cases the consultation may involve reviewing of any previous diagnostic tests such as x-rays, ultrasound, CT or MRIs. Your podiatrist may also wish to review your footwear and any additional correspondence from medical practitioners. A Biomechanical Assessment or foot posture assessment will be conducted.

What should I bring on my first visit?

It is best to bring anything with you that you believe relates to your presenting issue, as it will considerably assist your podiatrist in providing you with the most accurate diagnosis and treatment. You should bring any diagnostic test results (x-ray, MRI, blood test results etc), which may relate to your complaint. Also bring your 3 most frequently worn pairs of shoes, as the wear pattern of these may provide your podiatrist with a lot of information. If you have had orthotics in the past then we recommend that you bring those as well. And if you have ahd a referral from your Doctor bring this as well. For veterans you will need a D904 referral and for Medicare you will need and EPC GP Management Plan.

What does it cost?

Your initial consultation is $97. Costs will vary dependent on the type of consultation and treatment that you receive. If you are covered by a private health fund.

Does Medicare Cover me?

Medicare will cover some, but not all patients for Podiatric Services. As a part of the Enhanced Primary Care (EPC) Program, Medicare will only provide podiatry cover to a select few patients with long standing chronic conditions such as Diabetes, Cardio-Vascular disease, chronic arthritis, visual impairment and a handful of other diseases that will significantly affect your feet and lower limbs and your ability to care for them. As per Medicare’s guidelines, EPC patients must be given a referral from their GP, and are only entitled to a maximum of 5 visits per year. You should speak with your GP to discuss your eligibility or contact us for further enquiries.

How Do I Know If I Need Orthotics?

Orthotics will only be prescribed if deemed necessary by your podiatrist following a thorough Biomechanical Assessment and Initial Consultation. Put simply, Orthotics are in-shoe devices used for the treatment of certain foot, leg, knee, hip lower back biomechanical abnormalities. Most commonly, they are used to alter and improve the alignment and posture of the lower limb(s) in order to change the way in which the limbs function, which may in turn reduce or eliminate your pain and discomfort.

What Is Prolotherapy?

Prolotherapy is a procedure where a natural irritant is injected into the soft tissue of an injured joint. Supporters believe that it may provide significant relief for joint or back pain.

The disruption to the lives of those who experience joint and foot pain, ankle, knee, hip pain can be serious. From missed work to decreased mobility, the impact of back and joint pain can affect nearly every aspect of someone's life.

In this article, we examine what prolotherapy consists of, what someone should expect from this procedure, and how effective it is in reducing pain.

Prolotherapy involves injecting irritants into an injured or inflamed joint to stimulate healing.

Prolotherapy is a procedure where a natural irritant is injected into the soft tissue of an injured joint. The irritant kick-starts the body's healing response.

Prolotherapy is not a surgical treatment. Because of this, it is also known as a regenerative joint injection or non-surgical ligament and tendon reconstruction.

Doctors mainly use prolotherapy to treat injured joints and ligaments. While it is most commonly used for the back, doctors may also use prolotherapy in the following areas of the body:

foot joints

ankles

knees

hips

old injuries that are slow to heal

slow recovery from knee replacement

How does Prolotherapy Work?

Prolotherapy is an injection that contains a potential irritant, such as a dextrose solution, local anesthetic and sterile saline. The irritant is thought to trigger the body's healing response.

Once activated, the body will start to strengthen and repair damaged ligaments in the joint. The strengthening of the ligaments, over time, helps to stabilize the joint. Once the joint is better supported, the pain can disappear.

Prolotherapy usually requires several shots at the site of the injury or weakened area to be effective. An individual can expect anywhere from 4 to 15 shots per session, and for several sessions to occur over the course of 3 to 6 months.

The injection must be precise so that the irritant is placed at the area or areas requiring ligament repair.

What Are The Benefits of Prolotherapy

Medical professionals who support the use of prolotherapy believe that the strengthened joints will mean the pain is reduced. Also, the improved strength of the joint will help with stability and improve overall movement and function of the back and joints.

Prolotherapy is an all-natural, permanent treatment, as it relies on the body repairing itself to reduce pain.

In contrast, pain relievers and anti-inflammatory medications only provide temporary relief. Similarly, surgical options do not always work to stabilize a joint fully.

Though studies on prolotherapy have shown high rates of success, further research is needed.

Why Do You Get Ingrown Toenails?

Ingrown toenails are caused by many reasons. Tight shoes placing pressure on the toenail over a period of years. Picking at your toenails can cause a small nail edge to remain close to the skin. It pierces the skin and germs enter the area. Infection and swelling will occur which causes scarring of the skin near the nail. When the skin begins to heal, your nail grows into the skin causing you pain and swelling again. This process keeps occurring until the entire nail edge is removed.

Why We Use Corrective Nail Procedures

The reason we use Corrective Nail Procedures is because they give quick and permanent solutions to ingrowing nail problems. Your course of treatment is normally 5 visits. Sometimes there may be some more visits, sometimes less, but we will advise you of any change. At your first visit, we may remove part of the nail to give you some temporary relief. This is often painless and quick. We will advise you in advance if we need to do this. In most cases you will be required to bathe the toe twice daily in warm salty water. (About 1 teaspoon in 300mL of water and the water is to be no hotter than body temperature) You will need to dress the toe with Betadine Solution (10mLs betadine in 100mLs water or 1:10) and Handypor dressing. We don’t use ‘Band-Aids’ or plastic type dressing because they make the toe sweat and they will delay healing and may lead to an increase chance of an infection.

Your Corrective Nail Procedure

Special Information

Prior to your procedure you will need to fill in some paper work. If you have a child under the age of 18 years then they will require a guardian signature before we can proceed.

If you are taking blood-thinning medications such as warfarin you need to let us know prior to your procedure. We will need to consult with your GP and heart Physician as well. If you are taking aspirin or anti-inflammatories on a regular basis then you will need to cease the medication about 4 days prior to your procedure.

Your procedure will take about 40-60 minutes from the beginning to the end. We begin by preparing the toe with a Betadine solution and placing a white/green cloth around your foot.

The entire procedure takes about twenty minutes per toe.

We will remove part of the nail and use an special medicated solution that stops the nail bed from returning. Most times after the procedure there will be some pain and bleeding but it settles within 2-6 hours. This is one of the advantages of the procedure we use, is that other than the numbing needle, most people have very little pain after the procedure.

You will have immediate relief after the procedure has been done.

Pain

Sometimes you may have pain with the numbing injection. What we do is a couple of things to make it easier and much less painful. We use a very slow injection technique that significantly reduces the amount of pain. After the numbing injection has worn off you may have some pain for the next 2-3 days. If this is the case then you may need to take 2 panadol every four hours for the pain (Adult).

Do no take any aspirin or alcohol 48 hours after your nail procedure as this will cause more bleeding. You can also use a small ice pack wrapped in an old tea towel and keep it on the toe for 5-10 minutes and take it off for twenty minutes. Do this twice before you go to bed.

If you find that the procedure has caused you too much concern then please give your Podiatrist or one of our staff a call.

Very rarely do we see infection after a procedure, though sometimes we find that you may get soreness anywhere from 24hrs- week or two later. This may relate to a delayed infection. These sometimes happen. If you think you may have an infection then you will need to call us.

You May Experience Infections After Your Procedure

You will notice an infection if you have the following:

Redness around the toe and moving up the foot (look for a red streak)

Ooze/Pus (Often fluid is not clear and is yellow/green) coming from toenail.

You may get some night sweats or run a fever.

You may experience pain/ tenderness and a numb sensation around the injection area. This may take you 3-5 days to settle. Sometimes you are left with a numb feeling around the toe. This happens because the injection may touch the very small nerves of the toe. This numbness may last up to 12 months.

Follow Up Visits

We will need to see you for a total of 3 follow up visits. This is to check the progress of the wound, check for infections and to remove old scar tissue from the wound site.

What You Can Expect After Your Corrective Nail Procedure.

It may take you up to 3 months before the actual area has settled down. In 90% of cases the nail will not grow back. There are a small number of circumstances where your nail may grow back.

Laser Effects On Your Body

The red and near infrared light (600nm-1000nm) commonly used in Laser can be produced by laser or high intensity LEDs.

The intensity of Laser and LED's is not high like a surgical laser. There is no heating effect.

The effects of LLLT are photochemical (like photosynthesis in plants). The correct term is photobiomodulation.

When the correct intensity and treatment times are used, red and near infrared light reduces oxidative stress and increases ATP.

This improves cell metabolism and reduce inflammation. Effects of reduction of inflammation is enhanced with pulses. When analgesia is required there is a second mechanism which works best when a strong continuous beam is applied.

HOW LOW LEVEL LASER THERAPY WORKS

Light can stimulate or inhibit cellular function according to it's intensity and the time applied. Lasers and LED's produce intense beams of light at specific wavelengths. When the right wavelength at the right intensity is used at the correct anatomical location for the right amount of time you can stimulate repair, resolve inflammation and reduce pain.

One of the primary mechanisms is the effect of light on Cytochrome C Oxidase and the subsequent unbinding of nitric oxide and release of ATP leading to improved cellular function.

Anti-inflammatory effects we have found a measurable reduction in pro-inflammatory mediators such as Prostaglandin E2, TNF-a and Interluekin-6 in the synovia surrounding damaged tendons.

In addition, high intensity single point lasers can release trigger points and treat acupuncture points instead of needles.

There is substantial clinical evidence published in peer reviewed medical journals that laser therapy (LLLT) can stimulate repair of tissue, reduce inflammation and relieve pain in musculoskeletal disorders.

Here are some articles written about lasers.

BMJ LLLT for chronic non-specific low back pain: a systematic review and meta-analysis of randomised controlled trials found "moderate quality of evidence" and "clinically important benefits" in the short term. (2016)

Neuroma and Foot Bursitis

51 year old woman with 2 year history of pain between 3/4 toes. Numbness and burning with exercise, walking and enclosed footwear. Pain is relieved by rest and wearing open toed footwear. This lady had custom orthotics, new shoes and this relieved symptoms for about 6 months. She returned with pain and then had 3 treatments of prolotherapy over a 3 weeks period using 8% glucose. Pain settled within 3 treatments.

Sherylne F -51 Elimbah QLD

A 75 year old man with right knee osteoarthritis

Bill had suffered from 3 years of medial knee compartment osteoarthritis. Pain would present on early weight bearing and is relieved by rest. Bill found the more activity he would do on the knee, the more pain would present. New Hoka runners, custom orthotics and 2 course treatment of prolotherapy reduced all knee pain. He is now exercising and only occasionally suffers from an achy knee with prolonged walking up and down stairs.

Bill E -75 Bribie Island QLD

Bunions and Ball of Foot Pain

A 65 Year old man with bunions (hallux valgus) and ball of foot pain with exercise had presented with an inability to perform exercise and gym routine due to his pain. Pain presented as a 7-8/10 and had swelling and difficulty putting on footwear. We prescribed new footwear (Hoka Bondi) and this reduced symptoms by 50%. We then instigated a treatment regime of superficial dry needling combined with Cold Light Laser therapy at 500Hz 75% intensity for 2 minute of scanning on each painful section. Bob finished 10 treatments over a course of 6 weeks and had pain reduced to 1/10. He could exercise and walk pain free. We prescribed custom orthotics with forefoot metatarsal dome support and this helped to reduced the forefoot pressure on the plantar surface of the foot.

A 67 year old woman presented with pain at the right hip and right lower back, buttock regions. She could not walk for long distance and pain radiating into the buttock / right hip and lateral thigh region. When walking short distances, she had pain radiating down the outside of her leg into the ankle joint. There was numbness in this area and she could lay down on the right for any period of time.

We started her on a course of prolotherapy using 10% glucose with 1%xylocaine injections. 6 treatments has resulted in her pain being eliminated and only a slight numbness when laying on the right hip with sleeping. She is able to move and walk without pain and discomfort.

Redcliffe

Burpengary

Morayfield

Runcorn

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